THE EFFECTIVE CLINICAL GOVERNANCE

Running head: EFFECTIVE CLINICAL GOVERNANCE
EFFECTIVE CLINICAL GOVERNANCE
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EFFECTIVE CLINICAL GOVERNANCE
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Clinical governance is a concept of continuous improvement of the healthcare system,
where all the organizations ensure high standard patients care and accountablity for
improving the clinical service quality. The system involves all the role-players and
stakeholders to improve the quality of care and safeguard the care standards (Van
Zwanenberg & Harrison, 2018).
According to a literature review, principles of good clinical governance were
identified. The governance principles are clinical governance knowledge, unity of command,
ownership needs, executive management team bonding, understanding the economy of the
governance, and achieving goals (Smallwood. 2019).
The clinical governance is divided into seven major parts considered as the pillars of
clinical governance. The pillars are clinical effectiveness, and research ensures that best
patient care depending upon the best evidence, standards, and guidelines available. The next
pillar is an audit to evaluate the ongoing medical practice and identify the drawback
concerning the gold standard practice. Risk management, Education and training, Patient-
public involvement, information and IT, and staff management are the next pillars of the
clinical governance system (Safetyandquality.gov.au, 2020).
The gap between the mechanism of the system and application in the healthcare
system is not easy to bridge. The gaps chiefly lie between balancing the economic need and
quality of patient care. Hospitals sometimes struggle to continuously improvise the system by
providing quality care. The strict rules, regulations, and standards sometimes delay the
decision making of the governing body. The rural healthcare settings always not
accommodate the complex structure of the CR approved healthcare system (Publish.csiro.au,
2020).

EFFECTIVE CLINICAL GOVERNANCE
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The area for improvement in the clinical governance system is to fill up the gap
between the ideal concept of clinical governance and application of it in the medical practice.
The modification of the overall health care system, the role of stakeholders and health care
providers, can be helpful in this aspect (Safetyandquality.gov.au, 2020).
The history of strengthening methods the patients' outcomes differ from the modern
techniques, a lot. The modern methods involve making Edge note to collect the data of the
patient, and analyze the outcome, measure the quality and safety. Patient-Reported Outcome
Measure (PROMS) is an integral aspect of improving patient outcomes in medical services
(Boyce, Browne & Greenhalgh, 2014).
The National Safety and Quality Health Service ( NSQHS) standards are designed and
implemented to improve the healthcare quality of Australia, along with ensuring the safety
and quality of the system. There are eight standards of NSQHS to includes medical safety,
comprehensive care, fall-prevention, management of injury, adverse events and infection, and
clinical deterioration reaction. The standards of NSQHS are clinical governance for health
service organizers, Medication safety standards, communicating for safety standards,
recognizing and responding to acute deterioration standards, blood management standards,
preventing and controlling healthcare-associated infection standards, parenting with
consumer standards, comprehensive care standard (Safetyandquality.gov.au, 2020).
Clinical governance is a set of standards, relationships, and responsibilities designed
by the NSQHS. The factors act between the territorial health department, executive, patients,
consumers, the governing body, and the stakeholders to establish a favorable clinical
outcome. The primary difference between the CR and NSQHS is that the Clinical governance
process includes the national framework, based on the NSQHS standards. The standard of
NSQHS followed in the CR system to ensure the governing system is competent and capable
of better and safer care. The NHQHS allows the patient to participate in the decision making